摘要
本文回顧132個遲發性內淋巴水腫的病例，其中57例因內科療法失敗而接受手術治療。對於40例同側遲發性內淋巴水腫而言，除了迷路切除術可治癒頑固性眩暈外，其它較保守的療法如內淋巴囊手術、耳蝸球囊切開術及鏈黴素灌注法也都証明有效而且對內耳結構損傷較少。對於16例對側性遲發性內淋巴水腫則因聽力保存特別重要，內淋巴囊手術是需要手術治療時的最佳選擇。至於1例兩側性遲發性內淋巴水腫，因顧及日後聽力復健使用人工耳蝸植入術之可能性，採用內淋巴囊手術。本研究的臨床觀察結果支持Schuknecht等提出的論點，在原因不明的病例中，對側遲發性內淋巴水腫和梅尼爾氏病，很可能都是病毒性內耳炎的結果。
並列摘要
This paper reviewed 132 cases of delayed endolymphatic hydrops, including 57 cases underwent surgical treatment. For 40 patients with ipsilateral delayed endolymphatic hydrops, labyrinthectomy was curative for intractable vertigo, other conservative procedures such as endolymphatic sac surgery(ELS), cochleosacculotomy or streptomycin perfusion were efficacious and less destructive to inner ear structure. While in 16 cases of contralateral delayed endolymphatic hydrops, since hearing preservation was of extreme importance in such only-or better-hearing ears, it is rational that ELS should be the primary choice when surgical treatment became necessary. In one case of bilateral delayed endolymphatic hydrops, considering the possibility of the cochlear implantation, ELS was the best choice. The clinical results of this study would seem to support the contention postulated by Schuknecht and others, that contralateral delayed endolymphatic hydrops and Meniere’s disease are related disorders caused predominantly by viral labyrinthitis in those cases with unknown etiology.